PLEASE SEND YOUR RESUME AS A MS WORD ATTACHMENT BY EMAIL TO h1bdocuments@hdrinfotech.com.

(A)   GENERAL INFORMATION:

(1)FULL NAME AS IN PASSPORT:

(2)SURNAME / LAST NAME:  

(3) FIRST NAME:  

(4) MIDDLE NAME:

(5 ) PRESENT FULL ADDRESS:

C/O Mr./Ms

DOOR NUMBER

STREET NAME

CITY NAME

STATE

COUNTRY

PIN CODE

(6) PERMANENT ADDRESS (IF DIFFERENT FROM PRESENT ADDDRESS):

C/O  Mr./Ms

DOOR NUMBER

STREET NAME

CITY NAME

STATE

COUNTRY

PIN CODE

(7) ANY OTHER NAMES EVER USED (EXAMPLE MAIDEN NAME, NAME IN THE CERTIFICATES ETC.):

(8)  DO YOU HAVE A VALID PASSPORT? 

(9)  CITY, STATE AND COUNTRY ISSUED:

(10) ADDRESS GIVEN IN THE PASSPORT:

(11) TWO RELATIVES IN INDIA (PARENTS/ SIBLINGS)

(i) REFERENCE ADDRESS 

RELATIONSHIP:

NAME:

DOOR NUMBER

STREET NAME

CITY NAME

STATE

COUNTRY

PIN CODE

PHONE NUMBER:

(ii) REFERENCE ADDRESS (CLOSE RELATIVE)

RELATIONSHIP:

NAME:

 DOOR NUMBER

STREET NAME

CITY NAME

STATE

COUNTRY

PIN CODE

PHONE NUMBER:

(B) WERE YOU EVER GRANTED ANY B/F/H/L CLASSIFICATION VISA STATUS BEFORE:

 IF SO, PLEASE GIVE THE FOLLOWING DETAILS:

(1)STATUS OF THE VISA:

(2) EAC#:

(3) SOCIAL SECURITY NUMBER IF ANY:

(4) DATE OF BIRTH:   

(Please write name of the Month, Date and Year Ex: January 01, 2007):

(5) COUNTRY OF BIRTH: 

(6) PROVINCE OR STATE OF BIRTH:

(7) COUNTRY OF CITIZENSHIP:

(C) IF IN THE UNITED STATES, PLEASE COMPLETE THE FOLLOWING:

(1)DATE OF LAST ARRIVAL TO US: (Please write name of the Month, Date and Year Ex: January 01, 2007):  (ALSO FILL THE ENCLOSED ARRIVAL/ DEPARTURE TABLE)

(2)  I-94#:

(3) CURRENT VISA STATUS:

(FOR EXAMPLE H4, L1, L2, ETC.)

(4)THE DATE VISA GOT STAMPED: (Please write name of the Month, Date and Year Ex: January 01, 2007)

(5) DATE OF EXPIRY OF STATUS: (Please write name of the Month, Date and Year Ex: January 01, 2007)

(6) VISA START DATE: (Please write name of the Month, Date and Year Ex: January 01, 2007)

(7) VISA EXPIRY DATE (Please write name of the Month, Date and Year Ex: January 01, 2007)

(8) PASSPORT NUMBER:

(9) DATE OF PASSPORT ISSUED (Please write name of the Month, Date and Year Ex: January 01, 2007)

(10) DATE OF EXPIRY OF PASSPORT (Please write name of the Month, Date and Year Ex: January 01, 2007)

(11) CURRENT US ADDRESS:

DOOR NUMBER

STREET NAME

CITY NAME

COUNTY

STATE

ZIP CODE

PHONE NUMBER

(12) CITY AND COUNTRY OF THE AMERICAN CONSULATE TO WHERE THE CANDIDATE WANTS TO GO FOR STAMPING:

CANDIATES WHO LIVE OUT SIDE US NEED TO FILL BELOW INFORMATION.

(13) CANDIDATE’S PRESENT FULL ADDRESS IN THE COUNTRY HE/SHE IS LIVING.

DOOR NUMBER/APT #

STREET NAME

CITY NAME

STATE/PROVINCE

COUNTRY

PIN/ZIP CODE

PHONE NUMBER:

(D) EDUCATION AND CERTIFICATION:

(1) HIGHEST LEVEL OF EDUCATION: 

(21) HAVE YOU EVER EARNED A MASTERS OR HIGHER DEGREE FROM ANY US INSTITUTION/UNIVERSITY?

(IF IT IS YES, GIVE THE FOLLOWING DETAILS):

(i) NAME OF THE DEGREE/ CERTIFICATE/ DIPLOMA:

(ii) NAME OF THE UNIVERSITY/ INSTITUTION:

(iii) FULL ADDRESS OF THE UNIVERSITY:

(iv) THE YEAR THE DEGREE AWARDED